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目的:比较全膀胱切除术联合不同尿流改道术式在膀胱癌治疗中的应用价值。方法:将2005年5月至2014年5月惠州市中心人民医院收治的60例接受全膀胱癌切除术的膀胱癌患者作为研究对象,根据尿流改道方式不同分为回肠膀胱术组和原位新膀胱术组,每组各30例,比较两组围术期相关指标和术后早期并发症发生情况,采用膀胱癌特异性量表评估术后不同时相点患者生活质量的变化。结果:回肠膀胱术组手术时间、肠胃功能恢复时间及住院时间明显短于原位新膀胱术组(P<0.05)。回肠膀胱术组术后早期并发症发生率为43%,低于原位新膀胱术组的70%(P<0.05)。两组患者术后不同时相点生活质量评分比较,差异无统计学意义(P>0.05)。结论:全膀胱切除术联合回肠膀胱术,操作简单,术后恢复时间短,术后早期并发症发生率低,有较高的推广价值。
Objective: To compare the value of total cystectomy combined with different urinary diversion in the treatment of bladder cancer. Methods: From May 2005 to May 2014 Huizhou Central People’s Hospital admitted 60 cases of bladder cancer patients undergoing resection of bladder cancer as the research object, according to the different ways of urinary diversion is divided into ileal bladder surgery group and in situ Neo-Bladder surgery group, 30 cases in each group. Comparing the perioperative related indicators and the incidence of early postoperative complications, the bladder cancer specific scale was used to evaluate the changes of patients’ quality of life at different time points. Results: The operation time, gastrointestinal function recovery time and hospital stay in ileal bladder surgery group were significantly shorter than those in neo - bladder surgery group (P <0.05). The incidence of early postoperative complications was 43% in the ileal bladder group, which was lower than 70% in the neo-bladder group (P <0.05). There was no significant difference in quality of life between two groups at different time points after operation (P> 0.05). Conclusions: Total cystectomy combined with ileal bladder surgery has the advantages of simple operation, short postoperative recovery time, low incidence of early postoperative complications and high popularization value.